Organization
UKIAH ASSISTED LIVING, LLC
Active
Organization
UKIAH ASSISTED LIVING, LLC
Active
Other names
Mountain View Assisted Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
JON M HARDER (MANAGER)
(503) 375-9016
Entity
Organization
Contact information
Practice address
1343 DORA ST, UKAIA, CA 95482-6542
(707) 462-6212
(503) 485-1279
Mailing address
PO BOX 3006, SALEM, OR 97302-0006
(503) 375-9016
(503) 485-1279
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
236800971
CA
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
236800971
CA
Other
Enumeration date
05/02/2007
Last updated
07/14/2008
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